PEDIATRIC SUMMARY REPORT, 2014 EMS & TRAUMA REGISTRIES Texas Department of State Health Services Injury Epidemiology & Surveillance Branch 1
Heidi Bojes, PhD Director, Environmental Epidemiology and Disease Registries Section Acting Director, Environmental & Injury Epidemiology and Toxicology Unit Report Preparation: Injury Epidemiology & Surveillance Branch Stacy Jorgensen, PhD Epidemiologist Dan Dao, MPH Manager Contact Information: Injury Epidemiology & Surveillance Branch Environmental Epidemiology & Disease Registries Section MC-1964 Department of State Health Services P.O. Box 149347 Austin, Texas 78714-9347 Email: injury.epi@dshs.state.tx.us April 2016 TABLE OF CONTENTS Understanding this report... 3 Pediatric EMS Runs... 4 Call type... 5 Age and sex... 6 Month of year... 7 Time of day... 8 Rates for large counties... 9 County of incidence... 10 Top five causes by intent... 11 Pediatric Trauma Hospitalizations... 12 Summary... 13 Age and sex... 14 Type of injury by severity... 15 Type of injury by age... 17 Fatal injuries by age... 18 Top five causes by intent... 19 Photography and artwork courtesy of: Cover image: "First Beach Experience by drbertdelgado 2015 is licensed under CC BY-NC 2.0. Available at https:// www.flickr.com/photos/mylifeafterdeath/17868634589/. Accessed April 20, 2016. Page 4: Texas Department of Emergency Management by texasmilitaryforces 2012 is licensed under CC BY- NC 2.0. Available at https:// www.flickr.com/photos/texasmilitaryforces/7367143908/. Accessed April 26, 2016. Page 12: Teddy Bear Hospital by Christiaan Triebert 2013 is licensed under CC BY 2.0. Available at https://www.flickr.com/photos/christiaantriebert/9024165415/. Accessed April 2, 2016. Page 10: Map created by Kacie Seil, MPH, Texas DSHS Injury Epidemiology & Surveillance Branch Page 16: martha and nemo by bambe21964 2013 is licensed under CC BY 2.0. Available at https://www.flickr.com/photos/bambe1964/9395116948/. Accessed April 19, 2016. 2
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PEDIATRIC EMS RUNS TEXAS, 2014 4
PEDIATRIC EMS RUNS TEXAS, 2014 CALL TYPE #6#6=#!"#$= 6> ( 0( 00 Trauma 35,900 19% Medical trauma 3,591 2% Medical 104,328 54% Not applicable or Not reported 48,037 25% 5
PEDIATRIC EMS RUNS TEXAS, 2014 AGE AND SEX?&7!> $2> #>@ 0( & #'(!"#$ 7#>$6> ) & A& #!0#= ( ; 0 ( Number of EMS runs 10,000 5,000 0 5,000 10,000 2,000 1,000 0 1,000 2,000 Medical Trauma 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Age (years) Female Male Female Male 6
PEDIATRIC EMS RUNS TEXAS, 2014 MONTH OF YEAR 4 & & Number of EMS runs 10,000 7,500 5,000 Medical Trauma 2,500 0 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Month of year 7
PEDIATRIC EMS RUNS TEXAS, 2014 TIME OF DAY @ 4 (& @73"" % of total run type 10.0% 7.5% 5.0% 2.5% Medical Trauma 0.0% midnight 2am 4am 6am 8am 10am noon 2pm 4pm 6pm 8pm 10pm Time of day 8
PEDIATRIC EMS RUNS TEXAS, 2014 RATES FOR LARGE COUNTIES 4!"#$!=!6 #"""""? #, B#"""""(A & & & Incident County Population under 18 years of age No. of EMS runs Crude rate of EMS runs (per 100,000) Harris 1,205,210 13,462 1,117 Dallas 676,575 17,748 2,623 Tarrant 526,956 6,427 1,220 Bexar 485,751 13,024 2,681 Hidalgo 279,329 8,024 2,873 Travis 265,211 8,098 3,053 Collin 240,553 4,364 1,814 El Paso 235,582 6,362 2,701 Denton 196,521 3,222 1,640 Fort Bend 191,190 2,330 1,219 Montgomery 138,889 1,075 774 Cameron 132,864 3,566 2,684 Williamson 132,752 2,387 1,798 9
PEDIATRIC EMS RUNS TEXAS, 2014 COUNTY OF INCIDENCE )!"!"#$ &#$"#""""" %@*(##6=2 #"""""**(!"!"#$ 10
PEDIATRIC EMS RUNS TEXAS, 2014 TOP FIVE CAUSES BY INTENT Cause of injury Intent Unintentional Self-inflicted Assault Undetermined Other Motor vehicle traffic 10,686 0 0 0 0 Fall 7,521 * 0 830 * Other 1,239 267 508 137 * Not specified 765 66 804 196 89 Struck by/against 1,027 * 581 0 11 *Counts have been suppressed. )!67,= /( @ (( /( &,2>(!=> ) & /(',> ',> / 11
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 12
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 SUMMARY!#'2$!"#$ #!> && / 21,864 pediatric trauma hospitalizations 266 fatal injuries 21,598 nonfatal injuries 13
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 AGE AND SEX 9(2$> / &( : C#( #"0(0 #!0(0 # of trauma hospitalizations 1,200 600 0 600 Female Male 1,200 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Age (years) 14
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 TYPE OF INJURY BY SEVERITY Injury severity score Injury diagnosis by outcome 1-9 10-15 16-24 25-75 Missing Total Fatal injuries Traumatic brain injury (TBI) 18 9 12 101 4 144 Spinal cord injury (SCI) * * 0 6 0 8 TBI + SCI 0 0 0 7 0 7 Other traumatic injuries 52 * * 28 14 107 Nonfatal injuries TBI 2,633 533 795 319 249 4,529 SCI 26 * 9 15 * 58 TBI + SCI 8 * * 14 * 30 Other 13,906 651 334 161 1,929 16,981 Total, all diagnoses 16,644 1,208 1,163 651 2,198 21,864 *Counts have been suppressed. 15
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 TYPE OF INJURY BY SEVERITY $=#" &&/( D$2=, /(D,=!!> ) 7=>&& <4 /( &( 4 & & &(/ (/ ( )4#7 / &!$ /(? 4 #20!$!>/ : 4 B!$!$>/ E #> 4 C#7/ 16
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 TYPE OF INJURY BY AGE / C#( (( ( ( % of trauma hospitalizations 100% 75% 50% 25% TBI (n = 4,710) Non-TBI (n = 17,154) 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Age (years) 17
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 FATAL INJURIES BY AGE 5 (!!>/( /( 7=>/ % of fatal trauma hospitalizations 100% 75% 50% 25% TBI (n = 151) Non-TBI (n = 115) 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Age (years) 18
PEDIATRIC TRAUMA HOSPITALIZATIONS TEXAS, 2014 TOP FIVE CAUSES BY INTENT Cause of injury Intent Unintentional Self-inflicted Assault Undetermined Other Fall 8,917 6 * 11 * Motor vehicle traffic 3,574 * * 0 0 Struck by/against 2,266 * 183 0 * Other transport 1,304 0 0 0 0 Fire/burn 1,149 * * 12 0 *Counts have been suppressed.!#!== /( @ (/ (? /( $!>( &#=> & /(!"#,'!> ) 67>/ / / 19